Nurse Chief Executive Under the supervision of the Hospital Administrator, uses independent initiative and judgment applying standards of professional nursing and human centered care while supervising activities regarding nursing practice, and direct patient care at all shifts at TCID. Assumes oversight and responsibility for the provision of safe, effective, caring and competent nursing care throughout the hospital as Director of Nursing and Chief Nursing Executive, fulfilling professional leadership standards of the Joint Commission, Department of State Health Services and Texas Board of Nurse Examiners.

Supervises and manages delivery of patient care in Cardiopulmonary Therapy, TB Nurse Case Management, Patient Transportation, and Building 502 (Inpatient Care and Treatment) staff. Develops and implements hospital-wide programs, plans, policies and procedures that address how patient care is assessed, met and evaluated through nursing practice. Collaborates with other TCID leaders; other employed or contracted direct patient care and clinical support disciplines; and facility support providers to implement effective, ongoing human centered care programs to measure, analyze, and improve the quality of patient care, treatment and services.

Establishes all standards of nursing practice and nursing standards of patient care and treatment implemented at TCID. Responsible for collaborating with the Director of Nursing, DSHS State Hospitals Section, to integrate and implement professional nursing practice in accordance with State Hospitals Guidelines. Assures that policies and procedures for nursing care are sustained and up-to-date. One of several employees who is competent to act as the Hospital Administrator in her absence.

Essential Job Functions:

Responsible for activities of direct patient care from pre-admission through discharge from TCID, maintaining and improving quality of patient care to meet and exceed standards and guidelines. Assures adequate and competent staff in areas of responsibility. Reviews standard of care and practice, and assures appropriate implementation at TCID. Maintains and updates policies and protocols needed for competent function. Working with the TCID Educator, Performance Management leads, clinicians, other professionals and the Superintendent, assures competency for nursing and other staff within supervisory range.

Serves significantly in clinical interdisciplinary, environment of care and practice, fiscal, peer, agency-required, and other committee and group activities to promote human centered care and assure communication, acceptance, and results of appropriate actions. Participates and leads regularly in clinical conferences and competence improvement activities. Coordinates TCID nursing practice with other professional in the field such as staff from the DSHS TB Unit, academic institutions, or the Heartland National TB Center.

Working with the TCID Educator/Affiliation Coordinator, participates in student affiliations at TCID. Manages the specifications and work of contractors in patient care activities at TCID.

Knowledge Skills Abilities:

Demonstrated knowledge of nursing techniques and procedures; of health-related laws and regulations; and of clinical diagnoses and treatment practices related to TCID's mission. Knowledge of current professional nursing theory and practice, particularly related to cultural, social and economic forces affecting TCID's patients. Knowledge of principles of teaching and learning. Knowledge of current infection control practices and current treatment of TB and MDRTB.

Knowledge and skill in implementing of age-appropriate nursing care. Knowledge of data analysis techniques. Skill in consistently respecting other people in variety of work-site situations. Skill in leading other people at the workplace. Skill in verbal, written and electronic communication to appropriately, adequately and positively convey specific and understandable information. Ability to successfully supervise other people's work. Ability to recognize the need for; assess and implement collaborative responses to; communicate effectively in all venues and methods; and plan, assign, and supervise the work of others to accomplish anticipated results.

Ability to adequately and appropriately provide, safeguard and use resources identified for direct patient care. Ability to use electronic technology implemented in DSHS hospitals. Ability to develop short and long-term goals and objectives. Ability and willingness to work productively and constructively with others. Ability to work cooperatively with people from diverse cultures, backgrounds and settings. Ability to read, write, and speak English.

Registration or Licensure Requirements:

Licensed to practice as a registered nurse in Texas or a state that recognizes reciprocity through the Nurse Licensure Compact.

Initial Selection Criteria:

Licensed by the Texas Board of Nursing as a Registered Nurse. Minimum of three years of documented experience in direct patient care nursing management and supervision of direct patient care staff. Graduate from an accredited college or university with a concentration in professional nursing with a bachelor's degree and a Master's degree in a field of professional nursing, preferably a concentration in nursing administration. Documented experience and leadership in successful Joint Commission or CMS surveys. Documented experience in performing fundamental and skilled nursing functions, particularly addressing National Patient Safety Goals.

Additional Information:

Req #355805

HHS agencies use E-Verify. You must bring your I-9 documentation with you on your first day of work.

In compliance with the Americans with Disabilities Act (ADA), HHS agencies will provide reasonable accommodation during the hiring and selection process for qualified individuals with a disability. If you need assistance completing the on-line application, contact the HHS Employee Service Center at 1-888-894-4747. If you are contacted for an interview and need accommodation to participate in the interview process, please notify the person scheduling the interview.

The State Tuberculosis Hospital opened in 1953 to care for patients from Central and South Texas. In 1955, 550 additional beds were added to the original 408 beds. By 1959, the 958 bed State TB Hospital was the largest among the 21 TB sanatoria in Texas and one of the largest TB sanatoria in the US. But the needs for tuberculosis hospital care in the US diminished with the introduction of more eff...ective antibiotic therapy that could be managed on an outpatient basis, prompting most TB sanatoria to closed during the 1960’s and 1970’s. In February 1972, the hospital was re-designated as the San Antonio State Chest Hospital, its mission was changed to include treatment for chronic respiratory disease, utilizing 150 inpatient beds and extensive outpatient services. In 1978, treatment of other medical and surgical disorders referred from Health Department affiliates were undertaken. Also during this timeframe, many of the state TB hospital buidlings were transferred to the Texas Department of Mental Health and Mental Retardation to be used for the San Antonio State School (now organized in the State Hospitals Section, Department of state Health Services) and referred to as the San Antonio State Supported Living Center. In 1994, the Legislature approved a name change designating the facility the Texas Center for Infectious Disease and clearly included TCID in the organizational structure of the Texas Department of Health (now organized in the State Hospitals Section, Department of State Health Services). In 1996, the Womens Health Laboratory, located in Building 533 on the TCID campus, was separately designated within another DSHS organizational unit.During this time, the aging facilities at TCID could no longer sustain accreditation, and conditional JCAHO accreditation was determined until the facilities housing patients are replaced. In 1998, the Legislature authorized the Texas Department of Health to plan and construct new patient care facilities and to contract with the University of Texas System for medical management and transfer of a research laboratory to UTHSCSA. The 75-bed replacement facility, the largest new construction of its kind in over 50 years, started in 2009 and was completed in late 2010. In April of 2011, TCID patients were transferred into the new state-of-the-art hospital. The TCID program remains fully accredited by the Joint Commission. The hospital is also a Medicare-certified Specialty Long Term Care Hospital.Patient CareTexas Center for Infectious Disease (TCID) utilizes a “virtual” interdisciplinary hospital concept which provides limited on-site services through over 100 contracts, 25 shared programs, electronic health records, and networking systems to provide specialized medical consultations and services such as psychiatric care, dental care, optical, hearing, and women’s health to address medical co-morbidities. TCID employs a full-time psychologist, licensed social workers, substance abuse counselor, diabetic educator, chaplain, structured recreational therapy, dietitian/nutrition, pharmacist, and 24/7 direct patient care nurses- all to provide support for many of the issues that prevented successful community-based therapy in the past. Patient incentives to remain in treatment:Large campus-unlimited access to outdoor activitiesDay/weekend passes Paid patient work programSubstance abuse counseling and behavioral support Educational resources Diversional, musical, and recreational activities on/off campusAncillary DepartmentsBehavioral HealthChaplaincyFood & Environmental ServicesLaboratory Nursing ServiceOutpatient Clinic Performance ImprovementPharmacyRadiologyRespiratoryRecreational TherapyVolunteer ServicesKEY LEADERSHIPDepartment of State Health ServicesCommissioner: John Hellerstedt, MDAssistant Deputy Commissioner: Mike MaplesDirector of State Hospitals: Tm BrayTEXAS CENTER FOR INFECTIOUS DISEASEHospital Administrator: Jessica-Gutierrez-Rodriguez MSMOTChief Nurse Executive: VacantDirector of Clinical Support: Rosalie Sakata, MSN,BSN,RNDirector of Behavioral Health: Dr. Sergio Orozco, PhDDirector of Community Relations: Terina S. McIntyreThe University of Texas Health Science Center at Tyler (UTHSC-Tyler) Medical Director: Dr. David Griffith Attending Physicians: Dr. Annie Kizilbash andDr. Adriana VasquezHeartland National TB Center (HNTC) TCID provides in-kind support, clinical facilities, information and communication services, and space. Director and Lead Consultant: Dr. Barbara Seaworth Consultant: Dr. Lisa Armitige Executive Director: Stephanie OttThe University of Texas Health Science Center at San Antonio (UTHSCSA) Medical Director, Radiology: Dr. Kenneth Kist, UTHSCSA UT Medicine, UTHSCSA: Specialty consultationsClinical Pathology Associates Medical Director, TCID Laboratory: Dr. Douglas Warden